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Medicine:眼眶减压术对甲状腺功能亢进视神经病变的影响

2019-01-31 MedSci MedSci原创

广西医科大学第一附属医院眼科的Liang QW和中山大学眼科中心的Yang H等人近日在Medicine杂志上发表了一项最新研究进展,他们尝试探讨了眼眶减压治疗对严重甲状腺功能亢进视神经病变的影响。

广西医科大学第一附属医院眼科的Liang QW和中山大学眼科中心的Yang H等人近日在Medicine杂志上发表了一项最新研究进展,他们尝试探讨了眼眶减压治疗对严重甲状腺功能亢进视神经病变的影响。

他们进行回顾性研究,收集了进行眼眶减压的甲状腺眼病患者的人口统计学材料和临床特征。然后分析了术后最佳矫正视力和眼球张力变化,以及临床参数之间的相关性。

他们共纳入22例患者的30只眼睛。眼眶减压术后,视力提高的有16只眼睛,视力下降的有8只眼睛,5只眼睛没有变化。在进行眼眶减压术后,最佳矫正视力得到显着改善(0.1 vs 0.4,P = .039),眼球张度测定显着下降(22.0 mm vs 16.5 mm,P = .001)。眼球张力计、角膜病变和临床活动评分、术后最佳矫正视力与术前最佳矫正视力(r = 0.718,P <.05)和正常视盘(r = 0.568,P <.05)之间存在显着的相关性,但与年龄无关。

这些结果表明,眼眶减压是治疗甲状腺功能亢进视神经病变的有效方法。应根据临床参数,选择手术的最佳时间,例如视力和眼眶顶端的拥挤程度。

原文出处:

Liang, Q.W., et al., Effect of orbital decompression on dysthyroid optic neuropathy: A retrospective case series. Medicine (Baltimore), 2019. 98(3): p. e14162.

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    2019-07-14 gj0740
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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583967, encodeId=09d2158396e4f, content=<a href='/topic/show?id=3b02e2794f3' target=_blank style='color:#2F92EE;'>#眼眶#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72794, encryptionId=3b02e2794f3, topicName=眼眶)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-09-11 kalseyzl
  5. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583967, encodeId=09d2158396e4f, content=<a href='/topic/show?id=3b02e2794f3' target=_blank style='color:#2F92EE;'>#眼眶#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72794, encryptionId=3b02e2794f3, topicName=眼眶)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-04-01 jeanqiuqiu
  6. 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  7. 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href='/topic/show?id=ecdfe438970' target=_blank style='color:#2F92EE;'>#神经病变#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74389, encryptionId=ecdfe438970, topicName=神经病变)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0ea69427176, createdName=lingaifan, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1577653, encodeId=2c1815e765324, content=<a href='/topic/show?id=cda91148004' target=_blank style='color:#2F92EE;'>#Medicine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11480, encryptionId=cda91148004, topicName=Medicine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583967, encodeId=09d2158396e4f, content=<a href='/topic/show?id=3b02e2794f3' target=_blank style='color:#2F92EE;'>#眼眶#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72794, encryptionId=3b02e2794f3, topicName=眼眶)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
    2019-02-02 axin012
  8. 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encryptionId=5f014e1852, topicName=CIN)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a9a038523631, createdName=kalseyzl, createdTime=Wed Sep 11 11:08:00 CST 2019, time=2019-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1858940, encodeId=4b641858940d7, content=<a href='/topic/show?id=e0a9593596' target=_blank style='color:#2F92EE;'>#DIC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5935, encryptionId=e0a9593596, topicName=DIC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Apr 01 16:08:00 CST 2019, time=2019-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1273717, encodeId=dbf012e3717a9, content=<a href='/topic/show?id=10a5698555f' target=_blank style='color:#2F92EE;'>#甲状腺功能亢进#</a>, beContent=null, objectType=article, 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583967, encodeId=09d2158396e4f, content=<a href='/topic/show?id=3b02e2794f3' target=_blank style='color:#2F92EE;'>#眼眶#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72794, encryptionId=3b02e2794f3, topicName=眼眶)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 02 03:08:00 CST 2019, time=2019-02-02, status=1, ipAttribution=)]
  9. [GetPortalCommentsPageByObjectIdResponse(id=1926542, encodeId=c11d192654281, content=<a href='/topic/show?id=3ce590e1692' target=_blank style='color:#2F92EE;'>#视神经病变#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90716, encryptionId=3ce590e1692, topicName=视神经病变)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=991e83, createdName=wincls, createdTime=Thu Mar 21 05:08:00 CST 2019, time=2019-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1666985, encodeId=d2d016669856b, content=<a href='/topic/show?id=5fda90e061e' target=_blank style='color:#2F92EE;'>#视神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90706, encryptionId=5fda90e061e, topicName=视神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=14db26078051, 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  10. [GetPortalCommentsPageByObjectIdResponse(id=1926542, encodeId=c11d192654281, content=<a href='/topic/show?id=3ce590e1692' target=_blank style='color:#2F92EE;'>#视神经病变#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90716, encryptionId=3ce590e1692, topicName=视神经病变)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=991e83, createdName=wincls, createdTime=Thu Mar 21 05:08:00 CST 2019, time=2019-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1666985, encodeId=d2d016669856b, content=<a href='/topic/show?id=5fda90e061e' target=_blank style='color:#2F92EE;'>#视神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90706, encryptionId=5fda90e061e, topicName=视神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=14db26078051, 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